NPI: 1093054447 · INDIANAPOLIS, IN 46268 · 261QF0400X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 28,960 | $524K |
| 2019 | 40,913 | $1.12M |
| 2020 | 30,160 | $964K |
| 2021 | 53,474 | $1.73M |
| 2022 | 57,284 | $1.65M |
| 2023 | 51,327 | $1.69M |
| 2024 | 33,370 | $1.22M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | 42,969 | 34,240 | $2.31M | |
| T1015 | Clinic service | 78,337 | 64,144 | $1.75M |
| 99214 | 18,554 | 15,268 | $1.30M | |
| 99392 | 6,256 | 5,241 | $515K | |
| 99393 | 6,015 | 4,851 | $491K | |
| 92014 | 5,460 | 4,593 | $401K | |
| 90471 | 36,317 | 28,704 | $319K | |
| 99391 | 4,115 | 3,362 | $314K | |
| 99394 | 3,751 | 2,938 | $303K | |
| 90472 | 14,472 | 11,714 | $226K | |
| 99212 | 7,043 | 5,649 | $213K | |
| 59425 | 2,067 | 1,400 | $135K | |
| 92015 | 7,121 | 5,994 | $75K | |
| V2020 | Vision svcs frames purchases | 2,024 | 1,748 | $42K |
| V2784 | Lens polycarb or equal | 1,392 | 681 | $34K |
| 99215 | Prolong outpt/office vis | 304 | 258 | $33K |
| 97803 | 1,199 | 868 | $32K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 1,336 | 704 | $31K |
| 83036 | 5,073 | 4,198 | $31K | |
| 59426 | 357 | 183 | $30K | |
| G0467 | Fqhc visit, estab pt | 1,292 | 988 | $28K |
| 97802 | 752 | 566 | $26K | |
| 92012 | 452 | 374 | $26K | |
| 0012A | 569 | 537 | $19K | |
| 0011A | 597 | 540 | $17K | |
| 90837 | 206 | 167 | $15K | |
| 81025 | 2,654 | 2,122 | $15K | |
| 90832 | 362 | 300 | $14K | |
| 90674 | 1,077 | 812 | $13K | |
| 0002A | 320 | 320 | $11K | |
| 81002 | 4,943 | 3,231 | $11K | |
| 0072A | 265 | 264 | $10K | |
| 90792 | 77 | 74 | $9K | |
| 0001A | 274 | 254 | $9K | |
| 90480 | 597 | 275 | $7K | |
| 96110 | 1,129 | 915 | $7K | |
| 83026 | 2,488 | 1,963 | $6K | |
| 0071A | 173 | 172 | $6K | |
| Q0091 | Obtaining screen pap smear | 184 | 143 | $6K |
| 96127 | 1,338 | 1,065 | $5K | |
| 99188 | 691 | 629 | $5K | |
| 11721 | 689 | 399 | $5K | |
| 90686 | 14,033 | 10,529 | $5K | |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 179 | 82 | $4K |
| 0124A | 253 | 129 | $4K | |
| 90834 | 72 | 61 | $4K | |
| 99395 | 40 | 24 | $4K | |
| Q0111 | Wet mounts/ w preparations | 386 | 327 | $3K |
| 92250 | 189 | 133 | $3K | |
| 36415 | 1,434 | 1,075 | $3K | |
| 87428 | 84 | 59 | $3K | |
| 99396 | 29 | 27 | $3K | |
| 99173 | 1,420 | 1,046 | $2K | |
| 0052A | 96 | 64 | $2K | |
| 99203 | 48 | 46 | $2K | |
| 99211 | 218 | 59 | $2K | |
| V2104 | Spherocylindr 4.00d/2.12-4d | 59 | 39 | $2K |
| 90474 | 213 | 191 | $2K | |
| 87880 | 102 | 61 | $1K | |
| J1050 | Medroxyprogesterone acetate | 203 | 151 | $1K |
| 90670 | 2,642 | 2,117 | $1K | |
| 86703 | 376 | 305 | $1K | |
| 0004A | 35 | 30 | $1K | |
| 90791 | 12 | 12 | $1K | |
| 0054A | 38 | 25 | $922.50 | |
| 0064A | 28 | 27 | $893.04 | |
| 87426 | 24 | 24 | $616.29 | |
| V2100 | Lens spher single plano 4.00 | 24 | 15 | $549.96 |
| 90661 | 74 | 67 | $452.62 | |
| G0433 | Elisa hiv-1/hiv-2 screen | 39 | 26 | $342.56 |
| 96372 | 63 | 51 | $322.91 | |
| G2025 | Dis site tele svcs rhc/fqhc | 68 | 17 | $299.15 |
| 90677 | 138 | 128 | $273.85 | |
| G0444 | Depression screen annual | 47 | 31 | $224.52 |
| 36416 | 15 | 12 | $49.89 | |
| 90685 | 562 | 456 | $4.41 | |
| 90651 | 1,996 | 1,424 | $0.01 | |
| 90723 | 1,233 | 978 | $0.00 | |
| 90647 | 1,016 | 813 | $0.00 | |
| 91301 | 432 | 415 | $0.00 | |
| 99441 | 385 | 331 | $0.00 | |
| 90620 | 81 | 77 | $0.00 | |
| 90697 | 282 | 230 | $0.00 | |
| 90633 | 404 | 333 | $0.00 | |
| 90734 | 513 | 373 | $0.00 | |
| 90681 | 235 | 205 | $0.00 | |
| 99204 | 69 | 60 | $0.00 | |
| 90715 | 138 | 88 | $0.00 | |
| 99442 | 115 | 94 | $0.00 | |
| 91320 | 55 | 25 | $0.00 |